Laserfiche WebLink
COPY TO: <br />FAX TO: <br />EMAIL TO: <br />Phone 209-869-9260 <br />Fax 209-869-2278 <br />State Certification #1310 ‘__ est <br />4ABORATORIES.INC. <br />P. 0. Box 355 <br />6602 2nd Street <br />Riverbank, CA 95367 <br />SYSTEM # <br />SAMPLE <br />TYPE <br />RES1D <br />CL2 <br />TOTAL <br />COLIFORM <br />BACTERIA <br />(MPN/100mL) <br />E. COLI <br />COLIFORM <br />BACTERIA <br />(MPN/I 00mL) <br />3A N/A ABSENT ABSENT <br />SAMPLE ADDRESS: SAME AS ABOVE. <br />F COLL WL# <br />SAMPLE <br />LOCATION <br />TIME <br />0919 33-1410 XHB <br />COLLECTED BY: V. SWANSON <br />DATE COLLECTED: 1/18/2023 <br />DATE/TIME RECEIVED: 1/18/2023 / 1450 <br />DATE/TIME STARTED: 1/18/2023 / 1815 <br />DATE/TIME COMPLETED: 1/19/2023 / 1830 <br />DATE REPORTED: 2/6/2023 <br />ID#: R080 <br />RUBY'S ROCKY ROAD <br />8857 VIA CARANO RD. <br />ESCALON, CA 95320 <br />ATTN: RUBY <br />TOTAL COLIFORM BACTERIA TEST IN DRINKING WATER <br />STD. METHODS #9223 - 2004 (COLILERT M MO/MUG) <br />100 ML SAMPLE INCUBATED FOR 24 HRS. AT 35oC <br />CERTIFICATE OF ANALYSIS <br />IF ANY SAMPLE INDICATES "ABSENT" FOR TOTAL COLIFORM BACTERIA. <br />IT MEETS STATE STANDARDS FOR COLIFORM BACTERIA. <br />IF ANY SAMPLE INDICATES "PRESENT" FOR TOTAL COLIFORM BACTERIA, <br />IT DOES NOT MEET STATE STANDARDS FOR COLIFORM BACTERIA. <br />SAMPLE TYPE: 1 - WELL <br />WELL TANK <br />DISTRIBUTION SYSTEM <br />SURFACE WATER/ SOURCE <br />5 - OTHER <br />REASON FOR TEST: A - ROUTINE <br />B - REPEAT <br />C - SPECIAL <br />PERSON NOTIFIED: <br />SIGNATURE: <br />DATE/TIME NOTIFIED: LABORATORY DIRECTOR